| Neil J. Mallis, M.d. Inc | |
|
7335 Frankford Ave Philadelphia PA 19136-3929 | |
| (215) 335-1220 | |
| (215) 335-2517 |
| Full Name | Neil J. Mallis, M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7335 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Neil J. Mallis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2153351220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil J. Mallis, M.d. Inc 7335 Frankford Ave Philadelphia PA 19136-3929 Ph: (215) 335-1220 | Neil J. Mallis, M.d. Inc 7335 Frankford Ave Philadelphia PA 19136-3929 Ph: (215) 335-1220 |
| NPI Number | 1699912618 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 03/05/2009 |
| Medicare PECOS PAC ID | 1759446891 |
|---|---|
| Medicare Enrollment ID | O20090224000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699912618 | NPI | - | NPPES |
| 2079177 | Other | PA | HIGHMARK BLUE SHIELD |
| 3553245000 | Other | PA | PERSONAL CHOICE |
| 3553245001 | Other | PA | KEYSTONE IBC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD031074E (Pennsylvania) | Primary |
| Provider Name | Neil J Mallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881633576 PECOS PAC ID: 8224193354 Enrollment ID: I20090224000431 |
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